주기편측간질모양방전은 발작현상이 아니라 단지 급성 뇌손상을 반영하는 것이다
Periodic Lateralized Epileptiform Discharges Are Not Ictal Phenomenon, and Just Reflect an Acute Brain Damage
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Although the pathophysiologic mechanism is unknown, there has been long-running debate on whether periodic discharges such as periodic lateralized epileptiform discharges (PLEDs) and generalized periodic epileptiform discharges are an ictal or interictal EEG pattern. The goal of this review is to give evidence that such periodic discharges on EEG are not ictal phenomenon and just represent underlying acute brain damage. This review includes coma with epileptiform EEG pattern and its prognostic and therapeutic implications. Based on previous reports, rather than taking the view PLEDs represent either an underlying ictal process or an electrographic correlate of neuronal injury, it would be more reasonable that PLEDs are considered as a dynamic pathophysiological state in which unstable neurobiological processes create an ictal-interictal continuum.
Abstract
Although the pathophysiologic mechanism is unknown, there has been long-running debate on whether periodic discharges such as periodic lateralized epileptiform discharges (PLEDs) and generalized periodic epileptiform discharges are an ictal or interictal EEG pattern. The goal of this review is to give evidence that such periodic discharges on EEG are not ictal phenomenon and just represent underlying acute brain damage. This review includes coma with epileptiform EEG pattern and its prognostic and therapeutic implications. Based on previous reports, rather than taking the view PLEDs represent either an underlying ictal process or an electrographic correlate of neuronal injury, it would be more reasonable that PLEDs are considered as a dynamic pathophysiological state in which unstable neurobiological processes create an ictal-interictal continuum.
참고문헌 (26)
- Chatrian GE, "The significance of periodic lateralized epileptiform discharges in EEG: an electrographic clinical and pathologic study", Electroencephalogr Clin Neurophysiol, 17, pp.77~93 (1964)
- Hughes JR, "The periodically recurring focal discharge", Epilepsia, 6, pp.156~166 (1965)
- Brenner RP, "EEG in convulsive and nonconvulsive status epilepticus", J Clin Neurophysiol, 21, pp.319~331 (2004)
- Kaplan PW, "Nonconvulsive status epilepticus in the emergency room", Epilepsia, 37, pp.643~650 (1996)
- Kaplan PW, "Behavioral manifestations of nonconvulsive status epilepticus", Epilepsy Behav, 3, pp.122~139 (2002)
- Bauer G, "Nonconvulsive status epilepticus and coma", Epilepsia, 51, pp.177~190 (2010)
- Bauer G, "Coma and brain death, In Electroencephalography. Basic principles, clinical applications, and related fields. 5th ed", pp.471~487 (2005), Lippincott Williams & Wilkins
- Lux AL, "Is hypsarrhythmia a form of non-convulsive status epilepticus in infants", Acta Neurol Scand, 115, pp.37~44 (2007)
- Claassen J, "Continuous EEG monitoring and midazolam infusion for refractory nonconvulsive status epilepticus", Neurology, 57, pp.1036~1042 (2001)
- Jordan KG, "Nonconvulsive status epilepticus in acute brain injury", J Clin Neurophysiol, 16, pp.332~340 (1999)
- Aminoff JM, "Do nonconvulsive seizures damage the brain? - No", Arch Neurol, 55, pp.119~120 (1998)
- Young GB, "An assessment of nonconvulsive seizures in the intensive care unit using continuous EEG monitoring: an investigation of variables associated with mortality", Neurology, 47, pp.83~89 (1996)
- DeLorenzo RJ, "Persistent nonconvulsive status epilepticus after the control of convulsive status epilepticus", Epilepsia, 39, pp.833~840 (1998)
- Hesdorffer DC, "Incidence of status epilepticus in Rochester, Minnesota 1965-1984", Neurology, 50, pp.735~741 (1998)
- Young GB, "Periodic lateralized epileptiform discharges (PLEDs); electrographic and clinical features", Am J EEG Technol, 28, pp.1~13 (1988)
- Lothman EW, "Selfsustaining limbic status epilepticus induced by ‘continuous’ hippocampal stimulation: electrographic and behavioral characteristics", Epilepsy Res, 3, pp.107~119 (1989)
- Reiher J, "Periodic lateralized epileptiform discharges with transitional rhythmic discharges: association with seizures", Electroencephalogr Clin Neurophysiol, 78, pp.12~17 (1991)
- Pohlmann-Eden B, "Periodic lateralized epileptiform discharges-a critical review", J Clin Neurophysiol, 13, pp.519~530 (1996)
- Gross DW, "Chronic periodic lateralized epileptiform discharges during sleep in a patient with caudate nucleus atrophy: insights into the anatomical circuitry of PLEDs", Electroencephalogr Clin Neurophysiol, 107, pp.434~438 (1998)
- Niedermeyer E, "Epileptic seizure disorders, In Electroencephalography. Basic principles, clinical applications, and related fields. 5th ed", pp.505~619 (2005), Lippincott Williams & Wilkins
- Shneker BF, "Assessment of acute morbidity and mortality in nonconvulsive status epilepticus", Neurology, 61, pp.1066~1073 (2003)
- Rossetti AO, "Status epilepticus. An independent outcome predictor after cerebral anoxia", Neurology, 69, pp.255~260 (2007)
- Treiman DM, "Controversies in clinical neurophysiology: which EEG patterns of status epilepticus warrant emergent treatment", J Clin Neurophysiol, 14, pp.159~ (1997)
- Sharbrough FW, "Controversies in clinical neurophysiology: Which EEG patterns of status epilepticus warrant emergent pharmacologic treatment", J Clin Neurophysiol, 14, pp.159~ (1997)
- Kaplan PW, "Assessing the outcome in patients with nonconvulsive status epilepticus: nonconvulsive status epilepticus is underdiagnosed, potentially overtreated, and confounded by comorbidity", J Clin Neurophysiol, 16, pp.341~352 (1999)
- Fountain NB, "Effects of benzodiazepines on triphasic waves: implications for nonconvulsive status epilepticus", J Clin Neurophysiol, 18, pp.345~352 (2001)